MARY SHEA CUMMINS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005279

License Status

INACTIVE

Business

First Name

MARY SHEA

Last Name

CUMMINS

Business Name

MARY SHEA CUMMINS

Original Issue Date

07/18/1983

Effective Date

09/24/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/08/2015